THE LEEDS TEACHING HOSPITALS NHS TRUST
LEEDS DENTAL INSTITUTE
JOB DESCRIPTON: SPECIALIST REGISTRAR IN RESTORATIVE DENTISTRY
This is an established full time NHS post with Leeds Teaching Hospitals NHS Trust.
THE CITY OF LEEDS AND SURROUNDING AREA
Leeds is the fastest growing city in the UK and home to over three-quarters of a million people.
It is located in the heart of the UK and is the regional capital of Yorkshire and the Humber. It is
unrivalled in the north of England as a major shopping destination and centre for the arts,
entertainment, nightlife and leisure. The city has a rich cultural heritage with a wide range of
theatres, cinemas, museums and art galleries and a thriving music scene to cater for all tastes.
Leeds has a proud sporting tradition and there are plenty of opportunities to participate at all
Home to some of the UK’s and Europe’s leading companies, Leeds has seen the fastest rate of
growth in terms of job creation in the UK over the last two decades. It is the main centre for the
regional headquarters of government departments and utilities providers and the National
Health Service. It is also recognised as a major centre for financial services and is the top legal
and media centre in the UK outside London.
Leeds has excellent communication and transport links. The city is well served by affordable,
frequent local transport and has extensive coach and rail services connecting Leeds with the
rest of the UK. Leeds/Bradford airport provides regular flights to an increasing number of
Large areas of parkland make Leeds a very green city. There are many areas of natural beauty
and interest in Leeds from the national attractions of the Royal Armouries and the Thackray
National Medical Museum, to the fine mansions of Harewood House, Temple Newsam and
Lotherton Hall. Leeds is also within easy reach of the Yorkshire Dales, the Peak District, the
Lake District, the North Yorkshire Moors and historic towns such as York, Harrogate, Ripon and
Rich in history, with a diverse economy, thriving cultural scene and a cosmopolitan atmosphere,
Leeds stands proud as a city of regional, national and international importance.
Good public and private schools are available and house prices are reasonable.
MERGER OF THE TWO ACUTE TRUSTS IN LEEDS
The Leeds Teaching Hospitals NHS Trust came into existence on 1 April 1998, and has
approximately 15,000 staff employed over various sites:
Chapel Allerton Hospital St James’s University Hospital
Leeds Chest Clinic Seacroft Hospital
Leeds Dental Institute Wharfedale General Hospital
Leeds General Infirmary
Combined, these sites house 3,215 beds and provide a range of general, acute and elective
services, together with a significant number of regional and supraregional specialities.
The creation of a single Trust for Leeds and the reconfiguration of acute hospital services,
represented a unique opportunity for the city to become home to one of the leading health care
institutions in the world, excelling in health service delivery, teaching and research.
The Trust has provided improvement in the access and delivery of healthcare within a tight
The building of a stronger and enhanced centre for clinical excellence together with greater
research, teaching and learning opportunities has also been created in partnership with the
University of Leeds and Leeds Metropolitan University.
The Trust Operational Structure
The Trust Chief Executive is Maggie Boyle. There are 5 different operational divisions, each
with their own divisional general manager. The Leeds Dental Institute is a Directorate within the
Women’s, Children’s, Head, Neck and Dental Division.
Leeds Dental Institute (LDI)
The Dental Institute, established on 1 April 1992, integrated the Dental Hospital at Leeds and
the University of Leeds, School of Dentistry.
The Dental Hospital is situated on the ground floor of the Worsley Medical and Dental building
which also accommodates the Dental School, the Medical School and the University of Leeds
Health Sciences Library. It is situated on the southern side of the University campus half a mile
from the city centre.
The Dental Institute has a Director and Dean of the Dental School, Dr M Kellett, who is
accountable to a Board of NHS and University governors. The Institute’s departmental
structures are currently being redeveloped.
The unified management and professional staffing arrangements within the Institute reflect the
• providing a clinical service
• providing undergraduate, postgraduate and auxiliary education and training
• pursuing research
Since 2003, the LDI has been undertaking a period of rapid expansion and transformation.
Outreach teaching clinics in Bradford and Leeds are now established and in 2010 a further unit
in Hull will be completed. An ambitious refurbishment of the main LDI clinical area began in the
September of 2008, and will include refurbishment of the undergraduate clinics, and the
creation of a dedicated clinical area for Restorative staff (to include both individual surgeries
and cubicles in an open clinic space) forming a Restorative Service Delivery and Training Unit.
There will also be a Clinical Translational Research unit, which will enhance the recently
extended and upgraded clinical skills and flat space teaching estate within the Worlsey building.
These projects represent some £15M investment to deliver for the LDI a first class clinical and
Clinical service improvements have been facilitated by a new Cone beam and digital imaging
facility. Training of the dental team includes not only Undergraduate and Postgraduate Dental
programmes, but also education for Dental Nurses, Dental technicians, Dental hygienists and
Therapists offering vital team working experience.
Within Restorative Dentistry, there are out-patient clinics providing services in the clinical
disciplines of operative, endodontics, periodontology, fixed and removable prosthodontics in an
integrated fashion. Dental care is provided to in-patients in hospitals with the Trust when the
need arises. All aspects of Restorative Dentistry are undertaken and comprehensive laboratory
facilities are available.
Consultant Staff: (Restorative Dentistry)
NHS Consultant Staff Honorary Consultant Staff
Mr MFW-Y Chan Consultant in Prof P Brunton Chair / Hon Consultant
Restorative Dentistry, in Restorative Dentistry
Director, Lead Clinician
for the Dental Implant
Dr M Kellett Dean/Director of Leeds Dr H L Craddock Senior Lecturer / Hon
Dental Institute, Consultant in
Consultant in Restorative Dentistry,
Restorative Dentistry /
Head of Periodontology
Mr P J Nixon Consultant in Miss D L Gutteridge Lecturer / Hon
Restorative Dentistry, Consultant in
SHO educational Restorative Dentistry,
supervisor, Lead for Postgraduate Tutor
Dr L Morrow Consultant in Dr B R Nattress Senior Lecturer / Hon
Restorative Dentistry, Consultant in
Director of School of Restorative Dentistry,
Dental Hygiene &
Mr A F Speirs Clinical Director, Dr C J Watson Senior Lecturer / Hon
Consultant in Consultant in
Restorative Dentistry / Restorative Dentistry
Head of Acute Dental
Mr S Robinson Locum Consultant in
Other NHS Staff
5 Specialist Registrars (including advertised post)
3 Senior House Officers
2 part-time Hospital Practitioners
There is an expanding number of clinical academic staff across all the different disciplines within
Restorative Dentistry. These range from, Senior Lecturers, Lecturers, Teaching Fellows and
clinical tutors on both full and part-time contracts.
There is also 1 Lecturer/Honorary Specialist Registrar in Restorative Dentistry
Duties of the Post
Most clinical sessions will be spent in the new Restorative Service Delivery and Training Unit.
Treatment sessions within the areas of operative, endodontics, periodontics and prosthodontics
will be carried out throughout the whole tenure of the post, according to a weekly rota (sample rota
available). Clinical facilities are still being developed and will be excellent.
Specialist Registrars will be expected to work together with the dental therapists/hygienists,
dental nursing, technical and secretarial/clerical staff to ensure the smooth running of the
Division and the highest quality of clinical service.
Excellent clinical experience and training will be gained from participation in a wide variety of
Consultant Clinics seeing patients referred by general dental practitioners and Consultant
colleagues for a range of specialist advice and treatment. Under the supervision of the
Consultants, Specialist Registrars are expected to attend to routine administration and
correspondence with referring practitioners relating to patient care, in a timely fashion.
There are regular Joint Clinics with Orthodontics, Paediatric Dentistry and Maxillofacial Surgery.
There are weekly Oncology MDT Clinics at the Bexley Wing and the opportunity to attend Cleft
Clinics within the Trust.
A variety of Consultant Outreach Clinics are held at York and Scarborough District General
Hospitals, with a recently developed link to the Restorative consultants at the Bradford
Specialist Registrars have personal treatment sessions. Patients are treated under the
supervision and direction of Consultant staff. There are generally 5 of these treatment sessions
per week on average, with 3 of these having a dedicated consultant trainer present for
supervision and training. This high level of trainer availability is a particular strength of this unit.
If not engaged in treatment, the SpRs will join the Consultants or other SpR’s in the department
to support the Clinical Service and enhance their training.
Specialist Registrars treat patients allocated by the Consultant staff, which will cover the full
range of procedures in operative dentistry, fixed prosthodontics and endodontics of a suitable
complexity. Routine treatment for medically compromised patients is also a part of the post.
During University vacations SpRs may occasionally be called upon to cover the
Restorative/Conservation emergency clinic (“endo dresser clinic”).
Specialist Registrars provide periodontal treatment on a longitudinal basis for patients allocated
by Consultant staff, including patients with medical problems. Comprehensive non-surgical
periodontal care is undertaken as well as a variety of surgical procedures, including the surgical
placement of dental implants, ridge augmentation and grafting techniques. There is a
responsibility to supervise the Staff Hygienist and also the Dental Hygiene and Therapy
Students, as determined by the Head of Department and the Director of Hygiene & Therapy
School and also to refer suitable patients to these DCPs. The Specialist Registrar’s will
participate in the patient review clinics of the Hygiene & Therapy School.
Specialist Registrars are expected to gain experience in a wide variety of removable prosthetic
techniques and treat the more difficult conventional prosthetic cases. Experience will be gained
in implant and oncology cases. Specialist Registrars may also engage in treating patients who
may present as prosthetic emergencies and those referred by medical colleagues within the
Research and academic
The successful applicant will be expected to register with the University of Leeds for a taught
master’s degree in Clinical Dentistry (Restorative Dentistry MSc). This will be undertaken on a
three year part-time basis and self funded. This University degree is an integral part of the
training and is expected to be completed before the end of the Specialist Registrar training
programme. This will require completion of a series of course modules, including a core
curriculum and various Restorative modules. Research activity is expected to lead to the
presentation of a dissertation as part of the University of Leeds MSc. regulations. It is expected
that the SpR will publish their research.
The Specialist Registrar will gain experience of clinical teaching at undergraduate and
postgraduate level. They will also contribute to the teaching of dental hygiene and therapy
students. They will be required to contribute to the Departmental Seminars and Study/Journal
Club. They will also gain experience in providing CPD for General dental Practitioners and
Clinical Audit / Effectiveness
The Specialist Registrar will be required to participate in the clinical audit of departmental work
and may work with other members of the dental team, under Consultant supervision. It is
expected that the trainee will complete several audit projects and complete the audit cycle
during the post.
The post provides postgraduate experience and training recognised by the SAC for the
purposes of the Specialty Examination in Restorative Dentistry and gaining a CCT in
The post has educational approval from the Postgraduate Dental Dean and has been allocated
a National Training Number.
The excellent facilities of the Health Sciences Library are available within the building.
Each of the Restorative SpRs has an allocated desk space with computer and phone access
within a large office area shared with specialist trainees from other specialities.
Study leave is available with permission from the appropriate consultants, provided adequate
cover can be arranged and in accordance with the Whitley Council conditions.
A wide range of postgraduate activities is available and the SpRs are expected to take part.
Social amenities of the Hospitals and the University are available.
CONDITIONS OF SERVICE
The post is subject to the terms and conditions of service as laid down in the Whitley Council
Medical and Dental handbook, copies of which can be seen in the Administration Department.
The Hospital authority will require that you show evidence of Registration with the General
Dental Council on taking up the appointment.
The Hospital Authority will require medical examination and chest x-ray of the appointees
(unless evidence of these can be provided from the last six months) and also evidence of a
satisfactory Hepatitis B titre level.
DATE WHEN POST IS VACANT: 1st Feb 2010
Informal inquiries should be made to Mr M F W – Y Chan.
Arrangements for a visit to the Institute may be made once the short-listing process is complete
via the Restorative Secretary (Melanie Thewlis: telephone 0113 3436277)